Feasibility study of a modified yoga program for chronic pain among elderly adults in assisted and independent living.

CONTEXT

Yoga improves quality of life in elders ≥65 years, but studies among elders with chronic pain are limited.

OBJECTIVE

Conduct a feasibility study of gentle yoga among elders in assisted and independent living.

DESIGN

Single arm pre/post clinical trial.

SUBJECTS

Adults (≥65 years of age) with self-identified chronic pain (≥3 on a 10-point scale, lasting for ≥3 months) and no current yoga practice.

INTERVENTION

Ten weekly 60-min gentle yoga classes tailored to elderly adults.

OUTCOME MEASURES

At baseline, weeks 5, 10 (end of intervention), and 20 (follow-up), we collected data on feasibility (adherence, retention, safety), pain, anxiety, depression, fatigue, sleep disturbance, and physical function.

RESULTS

Twenty-six participants enrolled (88% women, 77% white, 58% in assisted living) with average age of 86.6 ± 4.4 (Mean, STD). Twenty participants completed the intervention, with 90% adhering (completing ≥6 classes). Nine participants (45% of completers) experienced adverse events, which were non-serious and related to transient musculoskeletal pain. No adverse events resulted in study withdrawal. Participants reported being somewhat likely to recommend yoga to a friend, and quite a bit likely to do yoga again. At the end of the intervention, four of twenty participants reported practicing yoga outside of class. Anxiety significantly decreased from 5.80 (SE=0.90) to 4.44 (SE=0.74) (p = 0.014), but there were no changes in other measures.

CONCLUSIONS

Our pilot 10-week yoga study was generally safe for and suitable to assisted and independent living elderly adults. Future studies are needed to examine other effects of yoga in assisted/independent living adults with chronic pain.